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AUG-16-Oi THU 09�45 AM�EVERETT PERMIT SERVICES FAX N0,�25 257 885i P, O1 <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVfRE1T <br /> cUI�DING DIVISION <br /> 3200 CcDAR STREEr <br /> EV£.4i�, WA 98201 <br /> PHON:: (425)257-8810 <br /> Fqx: (125J257-8857 <br /> ��y�. ���irdoTl ��� W���/ <br /> PROJECT A�DR S � <br /> ----- Sta[eRip PhGnB r� <br /> Owr.er Mail A�cress C��y . u(�- 7Qo�' <br /> �i e � r� 9Z o .z20�Sj`' SG,� ,,� u Te;n.�e GJ �'% <br /> �20(� ��ry StalelLip Phona <br /> Tenant MailAddrass ;�lS - <br /> -�- i �X - �` t. S're.lll E'�er-e t1� 1,��9 8ie s�— y90 <br /> � � Ciry Slate2ip Phone <br /> E,ectri[21 Coniractor Mai�P.tldres5 <br /> NE rv�n�� 99t�7a Contract Price ot work <br /> Stacc Licensc Numbor i <br /> � ,� er <br /> Conlact Person (Plan Review) <br /> Proposed Usc of cuilding <br /> i <br /> � � =vlS � <br /> Desc'ipticn oF Work l0 6e�onc: 1 C <br /> AOPROVED ElY THE STATE�OF A�RNG ONDUAPPLI�CANTS WITHISUCHIJOBSGMUS7 SHOW ThEUSTABE <br /> EDUCA'I-IONAL FACIL�ITIE�S AND IALL�EALTH CA E FACILITIESI PLANS WSLL�BE REVIEWED 8Y THIS OFFI 07HER <br /> NOTE: VJIRING IN NON-DWF.LLINGS IS REQUIRED TO 6E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELCCTRiCAL ANC COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> Vi'THIN ACCES518LE SPACF.S OR ALONG ACCESSI6LE FOUTES OF TRAVEL SHALL BE M�UNTED A MINIMUM <br /> CF 15 iNCHES AUOVE THE FLOOR. WAC 51-20 SEC. 3106(c}2. <br /> EiVViRON�AENTAL AND OTHER CONTROL FECEPTAC��S AND OTHER OPERAB�� 'EQUIPMENT WITFiIN <br /> ACCESSIBLE SPACcS O� l�LONG 6�C�&S���ND N�O f LESOS THAN\36LINCHES 480 E THE P OOR�N �HE REACH <br /> F1A lGES OF W�C 51-20 SEG. 3106( ) ° �� <br /> rAGViSIONa L'� �AYJS Ah'0 GHOIN.iNCeS G%VEFNP�+G TF.75 T1'OE OF WGRK WILL 6E COMPLcYEO �M1�HEiHEA SPEC�FlEO HEf7EIN OA <br /> 7 HERc9Y Gci�ilFY '(i iAl"1 HAVE �EAO AND cXAMINED THIS APPLICAPON AN�KN04V TNE SAME 70 8� TRUE ANO CUAAECT. ALL <br /> .tiOT, 7HE GRAN'INti OF'A PERi671T DCES N07 PRESUME TO CiVE AU7'NOS�T�'70 VIOL?rE OF CANCEL THE PROVISIONS CF ANYOTHcF <br /> C"/,'JER GF�TNS/PF/OPERiV�1Y7 PC-��OrML'IH6'v✓�Fi(r�OREWHI�C4 APPL�CAT�GNVSS�MAG� ANpNAiCC4!PLY l"lIDRiZTDBSr�iE <br /> C,^�NTRAC'.'GFS I.AVJ 1 P,27 C(;W Aiv'0 4��2CG 6VAC•. <br /> � <br /> � 6 25' OL F�e ��S �'� ' <br /> nalurr. D tc _ <br /> E�cCpPIRFV BaF.•, � 'U��D-��q .—. . __.— �- � . .._ <br />